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8 Cards in this Set
- Front
- Back
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Adenosine (Adenocard)
Class |
Antidysrhythmic Agent; Endogenous nucleoside
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Adenosine (Adenocard)
MOA |
1. Slows conduction of the SA and AV nodes
2. Can interrupt reentry pathways through the AV and SA nodes - used for chemical cardioversion |
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Adenosine (Adenocard)
Indications |
SVT/PSVT unresponsive to Valsalva maneuver
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Adenosine (Adenocard)
Contraindications |
1. Hx of ‘Sick Sinus Syndrome’
2. 2nd/3rd degree heart block 3. Pts known to be taking Carbamazepine (Tegretol) or Dipyridamole (Persantine) as both will intensify effects |
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Adenosine (Adenocard)
Side Effects |
Cardiovascular: chest pain/pressure, hypotension, transient PACs/PVCs, bradycardia, asystole, 2nd or 3rd degree heart blocks
Neurological: seizures, blurred vision, tingling/numbness, dizziness Respiratory: shortness of breath/dyspnea, respiratory failure Gastrointestinal: nausea, metallic taste Other: flushed skin |
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Adenosine (Adenocard)
Precautions |
1. Cannulate largest vein possible (and no smaller than 20 gauge IV catheter) to facilitate rapid flush following drug administration
2. Avoid administration with patients with bronchoconstriction or bronchospasms 3. Use very cautiously in COPD patients (i.e. those with emphysema or chronic bronchitis) due to respiratory failure side effect 4. Check current home medications prior to administration |
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Adenosine (Adenocard)
Interactions |
Patient use of methyl-xanthines (i.e. Theophylline or caffeine) may render drug ineffective
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Adenosine (Adenocard)
Routes / Dosages |
Rapid IVP or IO
Adult: 6 mg rapid IVP/IO followed by 10-20 ml flush May repeat with 12 mg twice after 1-2 minutes each Pediatric: 0.1 mg/kg rapid IVP/IO followed by 10 ml flush May repeat with 0.2 mg/kg once more after 1-2 minutes |
